HomeMy WebLinkAboutZ-13222TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN PLiLL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
/~ Land
/--/ Building(s)
/i~ Use(s)
DATE: February 20,
Pre C.O #Z13222
located at 905 Fvt. Rd. #19 Southold
1985
Street Hamlet
shown on County tax map as District 1000, Section 20 , Block 1 ,
Lot 15 , does.~not)conform to the present Building Zone Code of the
Town of Southold for the following reasons:
F~emises is located in an "A" Residential Zone District permitt~,d
uses is one family residence, one dwelling on each lot--lot is
insufficient in area for two family use.
On the basis of information presented to the Building Inspector's Office,
it has been determined thai the above nonconforming f~/Land /l! Building(s)
/ii(Use(s} existed on the effective date the present Building Zone Code of the
Town of Southold, and may be continued pursuant to and subject to the appli-
cable provisions of said Code.
IT IS FURTHER CERTIFIED that, based upon information presented to
the Building Inspector'S'office, the occupancy and use for which this Certifi-
cate is issued is as follows: Two family residence with an access0r¥ garage
and storage building.
Harold E. Anderson, Phyllis Anderson,
The Certificate is issued toFrederick Nelson & Cynthia Nelson, Ux
(owner, X~XR~ )~R~
of the aforesaid building. ~
ux and
Suffolk County Department of Health Approval
UNDERWRITERS CERTIFICATE NO.
No record
No record
NOTICE IS HEREBY GIVEN that the owner of the above premises H_iS
NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec-
tor to determine if the premises comply with al! applicable codes and ordin-
ances, other than the Building Zone Code, and therefore, no such inspection
has been conducted. This Certificate, therefore, does not, and is not intended
to certify that the premises comply with all other applicable codes and regula-
tions.
Building inspector
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
~outhold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
This application must be filled in typewriter OR ink, and submitted~to the Building Inspec-
tor with the following; for new buildings or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual
natural or topographic features.
2. Final approval of Health Dept. of water supply and sewerage disposal--{S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, I~ultiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
For existing buildings (prior to April 1957), Non-conforming uses, or buildings dod "pre-existing"
land uses:
1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or
topographic features.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
Fees:
I. Certificate of occupancy $§.OO
2. Certificate of occupancy on pre-existing dwelling/ land use - - ? r e - E × ± s t i n g 0. O. $1 5.0 0
3. Copy of certificate of occupancy $1.00 Vacant land C.O. $ 5.00
............. Old or Pre-existing Building x Vacant Land .............
New Building ~'0~)~ ~v% J~ t~/? ............
Location of Property ... ?.~.~.v. ¢.t.e..~, 9.~.d..9 .~f..S. qu..~.d..v.~, e..w..A.¥e..~.u.e. ........................
HouseNo. [~arold E o Anderson,S~'~llis Anderson, u× andHamlet
Owner or Owners of Property .. ?.~.e.d..e T.i.c.k...~.e.~s..op..&...C¥~.t.h. ~,~..~.e. [. .s .o.~. ,. . .u .~ ..............
County Tax Map No. 1000 Section ..... .5.0. ....... Block ..... ] .......... Lot ..... 3, 5 .........
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No ........... Date of Permit .......... Applicant ...... M,i.c.h ~e ~1..J.,. J{.a.]. ~, ..........
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $ .... ], $, p.O. ...................
Construction on above described building and permit meets all applicable codes and regulations.
Michael J. Hall
Applicant ....................................................
Rev. 10-10-78
AFFIDAVIT
Re: Harold E. Anderson
Premises= 1000-50-1-15
STATE OF NEW YORK)
COUNTY OF SUFFOLK) ss.:
Harold E. Anderson, being duly sworn deposes and states
the following:
That I am the owner of the house described on Suffolk County
Tax Map as 1000-50-1-15. That I believe that said house was
constructed prior to 1957--April 23
and has be~n used'continuously as a two-family
that time and continues to be so
residence since
used.
Sworn to befo=e me this ~----
Notary Public
MAP OF LAND
,HAROLD E.~ PF--IYLLI,~ ANO--;~SON
AND
FP--'ED[.:P. ICK ~V~.~ CYNTNIA Nc'i-SON
,~OUTHOLD
~UFFOLK COUNTY, N.Y.
/
/
/
/
/
LOCATII~N MAP
~cc~ :: iOO'-- ~"
'd
0
J
Eft'Al L
~c~l~: 40'=~"